Critical Illness Insurance Amount Select Amount, $25,000 increments to maximum $500,000 $25,000 $50,000 $75,000 $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 $275,000 $300,000 $325,000 $350,000 $375,000 $400,000 $425,000 $450,000 $475,000 $500,000 Gender Select Male Female Smoker Select Smoker Non-smoker Birthdate (yyyy-mm-dd) Dependent Children Coverage No $5,000 $10,000 Spouse Coverage No Yes Spouse Critical Illness Insurance Amount Select Amount, $25,000 increments to maximum $250,000 $25,000 $50,000 $75,000 $100,000 $125,000 $150,000 $175,000 $200,000 $225,000 $250,000 Gender Select Male Female Smoker Select Smoker Non-smoker Birthdate (yyyy-mm-dd) Calculate Premiums Step 2: Complete the information below to save your quote. You will receive an email copy of your quote. Critical Illness Premiums: First name: Last name: Email: I agree that my submitted data is being collected and stored and NSCIP may contact me to follow up. Submit Your email has been sent! Something went wrong, please check your entries and try again.
